SU1650138A1 - Method for treatment of deep dental caries and pulpitis - Google Patents

Abstract

The invention relates to medicine, namely to dentistry. The aim of the invention is to reduce the complications. The goal is achieved by the fact that the carious cavity is treated with a mixture of profesym and a 0.2% chlorhexidine solution in a 1: 1 ratio. Next, a tampon with the same mixture is left at the bottom of the cavity and the cavity is closed with aqueous dentine for 4 days. A positive effect is evaluated by an improvement in functional results.

Description

The invention relates to medicine, namely to dentistry, and can be used to treat deep caries and pulpitis in children and adults.

The purpose of the invention is to reduce the number of complications.

The method is carried out as follows.

Under local anesthesia in compliance with the rules of asepsis and antiseptics, the patient is treated with a sterile burs carious cavity, removing all softened tissues, washing the cavity with a mixture of immobilized enzyme and a 0.2% antiseptic solution prepared in a sterile syringe in a 1: 1 ratio. The mixture is then moistened with a sterile cotton swab, which is placed on the bottom of the carious cavity, covered with aqueous dentine for 4 days. On the next visit, if the patient has no complaints, the dressing is removed, zinc-eugenol cement or algipore is applied to the bottom of the cavity, and phosphate cement and permanent filling.

Example. Ill N., 1971 p., Turned to the children's city dental clinic of the city of Smolensk with complaints of pain from temperature irritants in the area 6 |. In an objective study, a deep carious cavity filled with diluted dentin was found on the distal surface in b. When sounding the bottom of the cavity, an open pulp horn was found. Electric donators are 20 micros. On the radiograph of the tooth and the alveolar process of the jaw, changes in the periodontium were not revealed. Chronic fibrous pulpitis was diagnosed.

Under local anesthesia in compliance with the rules of asepsis and antisepsis, the cavity is carious b | it was treated with sterile burs, all softened tissues were removed, the cavity was treated with a mixture of profesime and a 0.2% chlorhexidine bigluconate solution (1: 1), a tampon with the same preparations was left at the bottom of the cavity, the dressing was water dentin. After 4 days, the patient had no complaints on the second visit. Percussion tooth painless

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electrodontomtri 6 mk. The dressing is removed, zinc-eugenol cement, water dentin pads, phosphate cement, and fillome silidont are applied to the bottom of the cavity.

After 1.5 years, the patient does not complain about the control examination, the percussion of the tooth is painless, the filling is preserved. EOM 8 µa. On a control radiograph of changes in the periodontal FI was not revealed.

In this way, 32 patients were cured, of which 10 adults and 22 children. In the study of long-term results, only in one case, an unfavorable outcome was noted.

The use of the proposed method of treating deep caries and pulpitis reduces the number of complications both in the short and long term, since the proposed drug has a prod-

long-acting effect on the inflammatory process in the pulp of the tooth, does not cause degenerative changes in the latter; in children, after the treatment with the proposed method, the deformations of the tops of the roots of permanent teeth occurred.

Claims (1)

The invention of the method of treating deep caries and pulpitis by mechanical and drug treatment of the carious cavity, followed by applying a proteolytic enzyme to the bottom of the tampon and filling, characterized in that, in order to reduce complications, the carious cavity is treated with a mixture of profesym and 0.2% solution 1: 1 chlorhexidine, then a tampon with the same mixture is left at the bottom of the cavity and the cavity is closed with aqueous dentine for 4 days.